90-Day Composite Complication Rate for Degenerative Spine Procedures

Percentage of patients ages 18 years and older, undergoing a lumbar or cervical procedure, who had a post-operative complication.

Disease Activity Measurement for Patients with PsA

If a patient has psoriatic arthritis, then disease activity using a standardized measurement tool should be assessed at >=50% of encounters for PsA.

Gout: Serum Urate Target

The percentage of patients aged 18 and older with at least one clinician encounter (including telehealth) during the measurement period and an active diagnosis of gout treated with urate-lowering therapy (ULT) for at least 12 months, whose most recent serum urate result is less than 6.0 mg/dL.

Safe Hydroxychloroquine Dosing

If a patient is using hydroxychloroquine, then the average daily dose should be less than or equal to 5 mg/kg.

Methotrexate to Biologic Adherence to Treatment Pathway for Patients with Rheumatoid Arthritis

Percentage of patients aged 18 years or older with a diagnosis of RA AND receiving a first course therapy using a biologic disease-modifying antirheumatic drug (DMARD) who had a prescription for a conventional synthetic (cs) DMARD at least 10 weeks prior to newly initiated biologic therapy during the measurement year.

Avoidance of Chest X-ray in pediatric patients with Asthma, Bronchiolitis or Croup

Percentage of ED visits for pediatric patients with Asthma, Bronchiolitis or Croup for whom a Chest X-ray was ordered/performed.

Avoidance of Opioid therapy for dental pain.

All acute encounters for patients aged 18 years and older with, diagnosis of dental pain, who were not prescribed Opioids or Opiates

Avoidance of Acute High-Risk Prescriptions in geriatric patients at discharge

The percentage of adults 65 years of age and older who were prescribed an Acute High-Risk Medication at discharge

Avoidance of admission for adult patients in Emergency Department with low-risk Deep Vein Thrombosis (DVT).

Percentage of patients 18 years and older who present to the Emergency Department with low-risk Deep Vein Thrombosis (DVT) and are discharged home

Appropriate Utilization of Imaging in rAAA (ruptured Abdominal Aortic Aneurysm) patients in Emergency Department

Percentage of adult patients aged 55 years and older presenting to the Emergency Department with abdominal pain or back pain and hypotension for whom a POC Ultrasound or CT scan was performed.